Whether you are seeking some support for yourself, your Mum, your Partner, your Sister, your Best Friend or your Patient on their Cancer journey we are here to help!
APPLICATION FOR ASSISTANCE
Please ensure all questions are answered as accurately as possible.
Once all necessary information is received and processed, a member of the Charity will call to confirm receipt of this application and may ask additional questions if needed.
The Committee will then review your request. All applications will be notified of the committee decision via phone or email immediately following a decision.
This application provides the Charity with the information it needs to assess each request. The Charity strives to act quickly and reasonably when considering each Application. The information gathered in this Application will help in determining the needs of the applicant. All applicants information will is treated with and stored for the utmost confidentiality.
If you need more space to write an answer to any question, please continue on a separate sheet and attach to this application. Also, connect any other information which may lend support to the Application.
The success of any Application for Assistance will be dependent upon available funds at the time the application is considered. An Application for Assistance must have the support of a Health professional currently involved in the care of the cancer patient.